Annual Symposium Scholarship Request
The goal of the Down Syndrome Medical Interest Group (DSMIG-USA) Scholarship Program is to provide financial assistance for recipients to attend the DSMIG-USA Annual Symposium. The number of scholarships awarded each year will depend on available funding. The 2023 conference is being planned for in-person programming in Orlando, Florida July 21, 2023. For a full explanation of available scholarships and criteria, please see dsmig-usa.org/2023-Annual-Symposium-Scholarships/
Name
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First Name
Last Name
Credentials (if Applicable)
I am submitting a nomination for the following scholarship program
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Rising Star Scholarship
Financial Need Scholarship
E-mail
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Phone Number
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-
Area Code
Phone Number
Institute/Organization
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Organization Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years of related professional work experience
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RISING STAR SCHOLARSHIP Essay: How do you plan to apply what you learn at the DSMIG-USA symposium to your studies, research, or professional career related to the care of individuals with Down syndrome?
Do not include your name on your essay page(s) as this will disqualify your essay. Limit: 500 words
FINANCIAL NEED SCHOLARSHIP Essay: How will the scholarship increase the ability to attend the DSMIG-USA symposium?
Do not include your name on your essay page(s) as this will disqualify your essay. Limit: 100 words
DSMIG-USA Membership
Yes, I am a DSMIG-USA Member
No, I am not a DSMIG-USA Member
RISING STAR APPLICANTS Must Include a Resume
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